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Dr Julian Jarman

Cardiology, Electrophysiologist

Medical interests: Heart rhythm. Treatment of atrial fibrillation and all other cardiac arrhythmias. Inherited cardiac conditions. Catheter ablation of atrial fibrillation, supraventricular tachycardias and ventricular arrhythmias.

Implantation of pacemakers, defibrillators and cardiac resynchronisation therapy devices. Heart failure including biventricular pacing.


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About

I enjoy meeting patients to assess symptoms covering the whole field of clinical cardiology, and particularly specialise in diagnosing and treating heart rhythm disturbances, including providing interventional treatments with catheter ablation and device implantation.

I investigate a wide range of symptoms including palpitations, dizziness and blackouts, chest pain and breathlessness. I aim to reach a rapid diagnosis by organising prompt diagnostic tests, including the use of mini loop recorder monitoring devices where necessary.

As well as advising on lifestyle and medications, I can organise rapid admission to the Harley Street Clinic and other central London hospitals to provide minimally invasive catheter ablation procedures, with the intention of providing a lasting solution and avoid the need for long term drug use. As well as atrial fibrillation ablation, and ablation of all other cardiac arrhythmias, I also specialise in the implantation of pacemakers, including complex devices such as defibrillators and biventricular pacemakers to treat heart failure.

Background

Medical training

Dr Julian Jarman studied medicine at Cambridge University and gained his clinical medicine degree from Imperial College London. His further training was undertaken in several London teaching hospitals, as well as Harvard University medical school. He gained his doctorate of medicine higher degree for research into mapping of atrial fibrillation from Imperial College London. He remains active in research into atrial fibrillation and other cardiac arrhythmias.

Current appointments

Dr Jarman is a full time Consultant Cardiologist and Electrophysiologist at The Royal Brompton Hospital, a teaching hospital in central London and the national referral centre for complex cardiac diseases. He sees and treats private patients here, and also has admitting rights at the Harley Street Clinic and Wellington Hospital.

He also holds the post of Honorary Clinical Senior Lecturer in Clinical Cardiology at the National Heart & Lung Institute of Imperial College London, and regularly teaches medical students, as well as visiting fellows and consultants training in interventional catheter ablation techniques and complex pacing.

NHS practice

Consultant Cardiologist & Electrophysiologist, The Royal Brompton Hospital, London.

Expertise

I have over ten years of experience in all aspects of clinical cardiology. My special area of expertise is the diagnosis and treatment of all types of cardiac rhythm disturbance. I perform over 400 interventional procedures a year, treating complex specialist referrals for both elective and emergency procedures, and run a busy outpatient practice in a national referral centre, receiving frequent requests to provide second opinions.

Symptoms and problems investigated

  • Palpitations
  • Dizziness and blackouts
  • Chest pain
  • Shortness of breath
  • Family history of cardiac disease
  • High blood pressure
  • Heart murmurs


Procedures performed

  • Atrial fibrillation ablation
  • SVT ablation including AVNRT, AVRT and atrial tachycardia
  • Ventricular tachycardia ablation
  • Ventricular ectopy ablation
  • Biventricular pacemaker (CRT) implantation
  • Implantable defibrillator (ICD) implantation
  • Permanent pacemaker implantation
  • Implantable loop recorder insertion
  • Coronary angiography
  • Pericardial drain insertion
  • Intra aortic balloon pump insertion
  • Transoesophageal echocardiography
  • Full range of non-invasive diagnostic testing including echocardiography, myocardial perfusion scanning, cardiac MRI, CT coronary artery and calcium scoring, cardiopulmonary exercise testing, and Holter ECG recordings.

Conditions diagnosed and treated

  • All cardiac arrhythmias including atrial fibrillation, atrial flutter, SVT, ventricular arrhythmias
  • Inherited cardiac disease: cardiomyopathies including HCM, ARVC and LV non-compaction
  • Inherited cardiac disease: channelopathies including long QT and Brugada syndromes
  • Sudden cardiac death risk assessment and prevention
  • Stroke risk assessment and prevention
  • Heart failure
  • Hypertension (high blood pressure)
  • Angina and ischaemic heart disease
  • Valvular heart disease

Research interests

  • Atrial fibrillation ablation
  • Entirely subcutaneous defibrillators (S-ICD)
  • Sudden cardiac death
  • Catecholaminergic polymorphic ventricular tachycardia

Availability

 
In clinic
Clinic times*
Mon
In clinic: Yes
Clinic times*: 2pm - 8pm
Tue
 
 
Wed
 
 
Thu
 
 
Fri
 
 
Sat
In clinic: Yes
Clinic times*: Ad hoc

*Other times may be available on request

Fees

Dr Julian Jarman: fees

Type of patient Initial consultation (up to 30 minutes)* Follow up consultation (30 minutes)
Self pay £250 £200
Insured Within the schedule of charges for specific insurance companies* Within the schedule of charges for specific insurance companies*

* If your policy covers consultations, there will be no shortfall to pay (but you may have an excess on your policy). Please also note that some policies do not cover consultations – always check your policy conditions or contact with your insurer as necessary.

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